Joint Commission Resources Project

Selected JCR Education Meets ABQAURP Certification Requirements

The Joint Commission (TJC) is an independent, not-for-profit organization that accredits and certifies nearly 21,000 health care organizations and programs in the United States and is recognized nationwide as a symbol of quality that reflects an organization’s commitment to improving health care quality and patient safety. Joint Commission Resources (JCR), a wholly owned subsidiary and knowledge-based organization of The Joint Commission, provides innovative solutions to health care organizations across all settings with the aim to improve patient safety and quality.

JCR courses may be used for Health Care Quality Management (HCQM) recertification of ABQAURP Diplomate physicians, nurses, and other health care professions in patient safety and health care quality. The selection will be based on educational gaps to enhance their professions, within the hospital or physician practice.

Based on the HCQM Exam key concepts, ABQAURP authorized the JCR pre-approval of selected educational materials for Diplomate recertification. Look for the ABQAURP preapproval statement listed below to ensure the course material qualifies for HCQM recertification.

Accreditation Organizations

American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)

National Committee for Quality Assurance (NCQA)

Healthcare Effectiveness Data and Information Set (HEDIS®)

The Joint Commission

ISO (International Organization for Standardization)

National Quality Forum (NQF)

Transitions of Care (TOC)

Transitions of Care Models

Patient Protection & Affordable Care Act (PPACA)

American Recovery & Reinvestment Act (ARRA)

Seven Essential Elements

Readmission Avoidance

Credentialing and Privileging

Core Competencies

The Data Bank

Medical Staff Credentialing / Recredentialing

Institutional Bylaws

Economic Credentialing

Pay-for-Performance

Meaningful Use

Leapfrog Group

Provider Performance

Value-Based Purchasing

Insurance and Managed Care

Accountable Care Organizations

Health Maintenance Organizations (HMOs)

Medicare

Medicaid

Preferred Provider Organizations (PPOs)

Workers' Compensation (WC)

Compensability

Independent Medical Exams (IME)

Disability Protocols

Regulations

Physician Advisor Medical Specialty

Defining the Physician Advisor's Role

Two-Midnight Rule

Management of Observation Services

Medicare Audits, Denials, and Appeals

Transition to ICD-10

Quality Improvement, Management and Assurance

Theoretical Concepts

Quality Improvement Organizations (QIOs)

Peer Review

Continuous Quality Improvement (CQI)

Total Quality Management (TQM)

Physician Quality Reporting System (PQRS)

Clinical Resource Management

Utilization Review

Medicare Audits

Demand & Disease Management

Case Management

Case Management Components

Legal & Ethical Principles

Informed Consent

Risk Management / Patient Safety

Stark Laws

Anti-Kickback Statutes / Safe Harbor

Patient Self Determination Act (PSDA)

Informed Consent

Patient Safety Initiatives

Computerized Physician Order Entry (CPOE)

Regulatory Environment

Health Insurance Portability and Accountability Act (HIPAA)

Centers for Medicare & Medicaid Services (CMS)

Employee Retirement Income Security Act (ERISA)

Consolidated Omnibus Budget Reconciliation Act (COBRA)

Affordable Care Act (ACA)

Health Care Quality Improvement Act (HCQIA)

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